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Justin Souvanlasy, DC
Chiropractor in Portland, Oregon
NPI 1144957689

Justin Souvanlasy is a Chiropractor based in Portland, OR. Justin Souvanlasy practices in Portland, OR and has the professional credentials of DC. The NPI Number for Justin Souvanlasy is 1144957689 and holds a License No. 6169 (Oregon).

The current practice location address for Justin Souvanlasy is 8136 Se Foster Rd, Portland, OR and can be reached out via phone at 503-374-9995.

Location: 8136 Se Foster Rd, Portland, OR, 97266-1341
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Provider Profile Details
NPI Number
1144957689
Provider Name
Justin Souvanlasy
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
8136 Se Foster Rd, Portland, OR, 97266-1341
Phone Number
503-374-9995
Fax Number
Provider Enumeration Date
08/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8136 Se Foster Rd
City
State
Zip
97206-4288
Phone Number
503-374-9995
Fax Number
person
Provider Business Mailing Address Details
Address
8136 Se Foster Rd
City
State
Zip
97206-4288
Phone Number
503-374-9995
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
6169 (Oregon)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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